Cancer stem cells in oesophageal squamous cell carcinoma: Identification, prognostic and treatment perspectives

Crit Rev Oncol Hematol. 2015 Oct;96(1):9-19. doi: 10.1016/j.critrevonc.2015.04.007. Epub 2015 Apr 16.

Abstract

Cancer stem cells (CSCs) are a vital subpopulation of cells to target for the treatment of cancers. In oesophageal squamous cell carcinoma (ESCC), there are several markers such as CD44, ALDH, Pygo2, MAML1, Twist1, Musashi1, Side population (SP), CD271 and CD90 that have been proposed to identify the cancer stem cells in individual cancer masses. It has also been demonstrated that stem cell markers like ALDH1, HIWI, Oct3/4, ABCG2, SOX2, SALL4, BMI-1, NANOG, CD133 and podoplanin are associated with patient's prognosis, pathological stages, cancer recurrence and therapy resistance. Finding new cancer stem cell targets or designing drugs to manipulate the known molecular targets in CSCs could be useful for improvements in clinical outcomes of the disease. To conclude, data suggest that CSCs in oesophageal squamous cell carcinoma are related to resistance to therapy and poor prognosis of patients with ESCC. Therefore, innovative insights into CSC biology and CSC-targeted therapies will help to achieve more effective management of patients with oesophageal squamous cell carcinoma.

Keywords: CSC biology; CSC markers; Cancer stem cell; Oesophageal squamous cell carcinoma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • AC133 Antigen / analysis
  • Aldehyde Dehydrogenase 1 Family
  • Carcinoma, Squamous Cell / drug therapy
  • Carcinoma, Squamous Cell / pathology*
  • Drug Resistance, Neoplasm
  • Esophageal Neoplasms / drug therapy
  • Esophageal Neoplasms / pathology*
  • Esophageal Squamous Cell Carcinoma
  • Humans
  • Hyaluronan Receptors / physiology
  • Isoenzymes / analysis
  • Neoplastic Stem Cells / chemistry
  • Neoplastic Stem Cells / drug effects
  • Neoplastic Stem Cells / pathology*
  • Octamer Transcription Factor-3 / analysis
  • Prognosis
  • Retinal Dehydrogenase / analysis
  • SOXB1 Transcription Factors / analysis

Substances

  • AC133 Antigen
  • Hyaluronan Receptors
  • Isoenzymes
  • Octamer Transcription Factor-3
  • POU5F1 protein, human
  • PROM1 protein, human
  • SOX2 protein, human
  • SOXB1 Transcription Factors
  • Aldehyde Dehydrogenase 1 Family
  • ALDH1A1 protein, human
  • Retinal Dehydrogenase